| NPI | 1265694103 |
|---|---|
| Other Name | DANA DENISE KENNEBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: student) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |